Individual provider Active NPI

Susan B Hudson, M.D.

  • Reproductive Endocrinology Physician
  • New Braunfels, TX
National Provider Identifier
1649289927
Registry record updated Sep 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Reproductive Endocrinology PhysicianTaxonomy code 207VE0102X
License
L9256 Issued in TX
Practice address
705 Generations Drive
Suite 102
New Braunfels, TX 78130-0007
Phone
(830) 608-8004
Fax
(830) 620-9077
NPI assigned
Aug 5, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 5, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Reproductive Endocrinology Physician 207VE0102X L9256 TX Primary

Addresses

Primary practice location

705 Generations Drive
Suite 102
New Braunfels, TX 78130-0007

Mailing address

705 Generations Drive
Suite 102
New Braunfels, TX 78130-0007
Phone (830) 608-8004

Other identifiers 1

IdentifierTypeStateIssuer
267102000MedicaidMN

Other names 1

  • Dr. Susan B Altum Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L9256TXMDReproductive Endocrinology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Vaughn, Silverberg, and Assoc. Reproductive Endocrinology PastSince Sep 8, 2019 Accepting new patients
Fertility Institute of Texas, PLLC Reproductive Endocrinology PastSince Sep 8, 2019 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567641600000",
    "number": "1649289927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 GENERATIONS DRIVE",
            "address_2": "SUITE 102",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781300007",
            "telephone_number": "830-608-8004",
            "fax_number": "830-620-9077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 GENERATIONS DRIVE",
            "address_2": "SUITE 102",
            "city": "NEW BRAUNFELS",
            "state": "TX",
            "postal_code": "781300007",
            "telephone_number": "830-608-8004",
            "fax_number": "830-620-9077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDSON",
        "first_name": "SUSAN",
        "middle_name": "B",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-05",
        "last_updated": "2019-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VE0102X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Reproductive Endocrinology",
            "state": "TX",
            "license": "L9256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267102000",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "ALTUM",
            "middle_name": "B",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in New Braunfels, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.